Senior Accountant - Full Time
About The Position
Memorial Hospital in Chester, Illinois, is seeking a Senior Accountant for its Business Office. The position is the department’s lead accounting role and supports the Chief Financial Officer in maintaining accurate financial records, safeguarding assets, preparing financial statements, and ensuring compliance with applicable accounting standards and healthcare regulations. The role is responsible for financial reporting integrity, general ledger management, financial analysis, budgeting support, audit coordination, and compliance activities. The successful candidate is organized and analytical, attentive to detail, and able to exercise sound judgment. The role requires clear communication, independent work, and collaboration with hospital leadership, department managers, auditors, regulatory agencies, banking partners, and external consultants. The Senior Accountant also provides technical guidance and training to the Accountant position, mentors and cross-trains accounting staff, and promotes accountability, accuracy, and continuous improvement. The position requires a bachelor’s degree in Accounting, Finance, or a related field. A CPA, CMA, or a master’s degree in Accounting, Finance, or Business Administration is preferred; equivalent combinations of education and experience may be considered at the hospital’s discretion. Five years of progressively responsible accounting experience is preferred, as are healthcare accounting and Critical Access Hospital experience. Knowledge of GAAP, Governmental Accounting Principles, healthcare financial reporting, budgeting, reimbursement methodologies, internal controls, and financial analysis is required, along with advanced Microsoft Excel proficiency. Training is expected to take twelve weeks for familiarity with responsibilities and six months for proficiency in all tasks. The employee must be willing to adapt to changing responsibilities and industry developments. The role involves sitting, standing, and walking during the workday; reaching, lifting, carrying, stooping, and bending; operating light office equipment; working amid frequent interruptions; adapting to change; and traveling outside the hospital when necessary. The employee must maintain confidentiality of patient, employee, financial, and proprietary information in accordance with hospital policy and HIPAA requirements. Memorial Hospital describes a collaborative team environment and opportunities for professional growth and development. Benefits listed are PTO accrual, a retirement contribution with an optional match program, and employee health insurance for $20 per month. Qualified applicants will be interviewed by November 6, 2026.
Requirements
- Bachelor’s degree in Accounting, Finance, or a related field required; equivalent combinations of education and experience may be considered at the hospital’s discretion.
- Minimum of five years of progressively responsible accounting experience preferred.
- Knowledge of Generally Accepted Accounting Principles, Governmental Accounting Principles, healthcare financial reporting, budgeting, reimbursement methodologies, internal controls, and financial analysis.
- Advanced Microsoft Excel proficiency required.
- Ability to work independently, exercise sound judgment, communicate effectively, and collaborate with hospital leadership, department managers, auditors, and external partners.
- Willingness to adapt to changing job responsibilities and changes in the industry.
- Ability to maintain confidentiality in accordance with hospital policy and HIPAA requirements.
- Ability to work under conditions of frequent interruptions and travel outside the hospital when necessary.
Nice To Haves
- CPA or CMA credential.
- Master’s degree in Accounting, Finance, or Business Administration.
- Healthcare accounting experience.
- Critical Access Hospital experience.
Responsibilities
- Coordinate and manage monthly and annual financial closing processes.
- Prepare monthly financial statements and supporting schedules.
- Maintain the integrity of the general ledger and chart of accounts.
- Review account reconciliations and journal entries for accuracy and completeness.
- Calculate contractual allowances and other accounting estimates.
- Maintain fixed asset records, including capitalization, depreciation, transfers, and disposals.
- Coordinate preparation of annual audit schedules and serve as the primary liaison for external auditors.
- Assist with Medicare, Medicaid, and other reimbursement reporting requirements.
- Assist in developing and monitoring annual operating and capital budgets.
- Prepare monthly Board financial reports and management reporting packages.
- Analyze financial performance, identify trends, and explain variances.
- Assist the CFO with cash flow forecasting, financial modeling, and strategic planning initiatives.
- Prepare statistical reports, grant schedules, and regulatory filings.
- Recommend improvements to accounting procedures, internal controls, and reporting processes.
- Provide training and technical guidance to the Accountant position; mentor and cross-train accounting staff.
- Serve as backup for accounts payable, cash management, and other accounting functions.
- Assist the Business Office with accounts receivable follow-up and payment posting, and assist the CFO with charge capture, price reviews, and maintenance of the charge master.
- Participate in special projects and perform other duties as assigned.
- Serve as the organization’s lead accounting resource and promote accountability, accuracy, continuous improvement, and operational efficiencies.
- Maintain effective working relationships and communicate financial information clearly and professionally while maintaining confidentiality.
Benefits
- PTO accrual of 0.085 earned per hour worked.
- Retirement contribution of 5% with an optional match program.
- Employee health insurance for $20.00 per month.
- Collaborative team environment with opportunities for professional growth and development.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
